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Dr. Andrés Pérez Nieto
Specialized Plastic Surgery
Breast Augmentation:
Improving bust volume and shape
Breast augmentation is one of the most performed plastic surgery procedures worldwide. It is indicated in women who wish to improve the size, shape, and projection of their breasts, whether for aesthetic reasons, changes after pregnancy, or particular anatomical conditions.
Who usually consults for a breast augmentation?
Women in their 30s, many with a history of pregnancy and breastfeeding:
This is the most common group. They are patients who have experienced a loss of breast volume, especially in the upper part of the bust, as well as a decrease in firmness and skin tone.
Young women, generally in their 20s:
They seek a size increase that allows them to achieve a more harmonious and balanced body, improving their body projection and self-confidence.
Patients with breast asymmetries or deformities:
Some women present noticeable differences between both breasts or congenital deformities. In this group, said asymmetries can be corrected, providing a natural and balanced result.
Important to keep in mind: What if the breasts are sagging?
It is fundamental to clarify that breast augmentation does not correct breast sagging or ptosis by itself. When breasts are descended, the ideal procedure is a combined breast lift (mastopexy) surgery with implant placement, to restore both the shape and position of the breast.
Details of Dr. Pérez's Technique
Dr. Pérez's approach to breast augmentation is based on achieving an aesthetic result that not only meets the patient's expectations but also looks natural and harmonious with the rest of the body. Each surgery is carefully planned individually, taking into account multiple anatomical and personal factors.
Personalized planning:
During the initial consultation, Dr. Pérez performs a comprehensive evaluation that includes aspects such as height, chest width, skin quality, and user biotype. With this information, the following are precisely defined:
• The type of implant (texture, shape, projection).
• The ideal location to obtain the best aesthetic result.
Incision type
In most cases, Dr. Pérez uses the periareolar incision, which is performed discreetly around the lower half of the areola. This location allows effective access to place the implant and, at the same time, a practically imperceptible final scar.
Dual Plane Technique
The technique preferred by Dr. Pérez is Dual Plane, in which the implant is placed partially behind the pectoralis major muscle. This technique offers multiple advantages:
• Better transition between the chest and the implant.
• Lower risk of the implant being visible or palpable over time.
• Reduction of the risk of capsular contracture.
Aesthetic surgical closure
To finish the procedure, Dr. Pérez performs wound closure with absorbable sutures, which avoids the need to remove stitches later and favors more aesthetic scarring.
